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LISG L y m p h e d e m a I n f o r m a t i o n S u p p o r t G r o u p S u p p l e m e n t w i t h Vi t a m i n s a n d M i n e r a l s For a Long, Healthy Life Vitamins: Vitamins are natural substances found in living things such as plants. Vitamins must be obtained in the body from foods or supplements as they cannot usually be produced by the body. Minerals: Minerals are found in plants. Plants get their minerals from the soilsoil gets minerals from water washing over rocks. For vitamins to do their job, they require minerals. Minerals must also be obtained from food or supplements. Antioxidants: Antioxidants are specific vitamins or minerals that protect body cells from damaging effects of Free Radicals. Free Radicals come from or are caused by smoking, sunlight, stress, exercise, etc., and are one of the primary causes of premature aging, sickness, and disease. Volume 5 Issue 5 Inside this issue: Vitamins 1-7 Dietary Corner 8 Daily Care & Care of Bandages and Garments 9-10 Gradient Pump 11-14 Website 15 Supplements: Supplements are vitamins and minerals that have been extracted from a plant or created in a laboratory and put into a form that can be ingested and used by the body. There are effective supplements, ineffective supplements, and hazardous supplements. Uneducated consumers are at risk from two sides: 1. Consumers know they should supplement but don’t know how to effectively. Therefore, they waste their money, time, and health. 2. Consumers are uninformed (or given bad advice) on the need to supplement and sacrifice their health. Requirements for a bona fide Lymphedema Therapist Reminder 16 17 Clinical Education ----------Comprehensive Treatment of Lymphedema Venus Problems & Edemas associated with wounds, trauma & post surgery For more information (408) 782-1028 Winter 2015-2016, Volume 5 Issue 5 How Do Vitamins and Minerals get in the Body? Vitamins and minerals get into your body when you eat plants such as fruits, vegetables, grains, nuts and spices or when you take a vitamin/ mineral supplement. You can also get some vitamins and minerals into your body by eating meat as most animals eat plant food. Digestive Tract Where do Vitamins/Minerals go in the Body? Page 2 Vitamins and minerals go from your stomach to your intestines. They then go through a very complex allocation system whereby the body distributes certain vitamins and minerals to parts of your body based on its own priority system. (see image). If a nutrient is needed in a certain organ that the body deems more important, it will take the nutrient from a less important organ, and allocate it to a more important organ. Sort of a “rob Peter to pay Paul” action. That’s why it is critical to maintain proper vitamin and mineral levels. Vitamins and minerals in your body should not be viewed as independent substances, but rather as a cooperative network of nutrients working together. If one nutrient is missing, it throws the entire network of nutrients out of balance. “A deficiency of a vitamin or mineral will cause a body part to malfunction and eventually break down - and, like dominos, other body parts will follow” -James F. Balch, M.D Prescription for Nutritional Healing Winter 2015-2016, Volume 5 Issue 5 Page 3 Vitamin E The Force that Slows Aging and Strengthens the Heart Introduction: Scientists are finding that vitamin E is a nutritional Swiss Army knife. Vitamin E modifies blood fats so that they protects against heart disease. It may also promote a healthy circulatory system by preventing the formation of dangerous blood clots and by protecting red blood cells from damage by oxidation. Vitamin E protects health in other ways as well: How Vitamin E Helps the Body To understand Vitamin E’s positive effect, you must first understand a little bit about oxygen. With each breath you take, the fats present in all cells can combine with oxygen at an excessive rate in a chemical process known as oxidization. Oxidative damage can lead to premature aging, lowered resistance, cancer, and heart disease. Fortunately, nature has provided us with a way of slowing down such reactions via substances called antioxidants. One of the most important and readily available antioxidants is Vitamin E. Antioxidants like Vit- 1) Provides a key to the healthy functioning amin E can stop damaging reactions, extend of our muscles, eyes, blood, lungs, and the life of cells, and even block the formation more. 2) Possesses a variety of protective actions that boost our immune system so that we are better protected from viruses, bacterial diseases and, in some cases, cancer. 3) It keeps the sparkle in our eyes! In other words, it has been shown to prevent the development of certain kinds of cataracts. 4) Enhance our resistance to the everworsening health threat of pollution. of tumors. Antioxidants like Vitamin E also appear to play a key role in fostering immunity, the body’s natural ability to repel invading disease organisms. Winter 2015-2016, Volume 5 Issue 5 Page 4 Vitamin E has great therapeutic value in the following: 1) Gives relief from disabling stubborn skin disorders. 2) Defends against an eye problem called diabetic retinopathy 3) Diminishes occurrence of constriction of blood vessels, thus reducing chances of thrombophlebitis, platelet aggregation, and atherosclerosis 4) Supports good cholesterol (HDL) 5) Prevents abnormal blood clotting 6) Lowers amount of sugar in the blood. 7) Guards against the effects of air pollution and ozone 8) Slows down the aging process 9) Fights free radicals 10) Protects circulation, lungs, and skin 11) Reduces day and night-time foot and leg cramps 12) “Cools” the hot flashes that plague women during menopause Low density lipoproteins (LDL) are “bad guys”—they carry cholesterol to the cells. Highdensity lipoproteins (HDL) are “good guys”—they carry cholesterol away from the cells. *********************************** A high percentage of LDL in the total cholesterol means a high risk of circulatory disease like heart attack or stroke. A high percentage of HDL means a low risk. Total cholesterol is less important than keeping HDL levels as high as possible. Winter 2015-2016, Volume 5 Issue 5 Page 5 Winter 2015-2016, Volume 5 Issue 5 Page 6 Continuation from page 2 How Do Vitamins/Minerals Leave the Body? Vitamins and minerals are “used” by the body. As they perform their function, they often use themselves up in the process, which is the case with most of the critical diseases fighting antioxidants. Even thinking uses vitamins and minerals. Exercise and stress use a lot of vitamins and minerals; the use of diuretics (substances that increase the discharge of urine) such as drugs, alcohol, coffee, tea and sodas - wash away vitamins and minerals out of the body creating deficiencies - this can create a major health problem! Tobacco and alcohol can also inhibit the absorption of vitamins and minerals, or accelerate the loss of them. Your Health, Your intelligence, Your energy Your appearance are dependent upon you replenishing your vitamins and minerals every day. Vitamin & Mineral Supplementation is necessary for these reasons: 1. Crop nutrient losses - soil has been depleted of nutrients 2. Poor digestion - indigestion reduces absorption 3. Over-cooking - destroys nutrients 4. Microware cooking - alters structure of nutrients 5. Food storage - length of time stored and freezing deplete nutrients 6. Food selection - limiting food selections 7. Food omission - dieting and allergies reduce or omit sources of nutrients 8. Environmental factors - herbicides and pesticides reduce nutritional values 9. Antibiotics - interfere with intake of nutrients 10. Poor Lifestyle - smoking, alcohol and caffeine inhibit absorption of nutrients 11. Stress - increases body’s requirements 12. Out of balance - missing nutrients create an out of balance situation in the body 13. Nutrient variance - some foods have greater amounts of certain nutrients. Winter 2015-2016, Volume 5 Issue 5 Page 7 Winter 2015-2016, Volume 5 Issue 5 Dietary Corner Page 8 Winter 2015-2016, Volume 5 Issue 5 Page 9 DAILY CARE WHEN WEARING BANDAGES & COMPRESSION GARMENTS In AM – Wash affected area/areas, rinse, pat excess water leaving skin slightly moist – Apply Lotion to affected area/areas – Apply Alps Lotion to – toes/feet up to knee (leg affected) – fingers/hand up to elbow crease (arm affected) - Apply garment (stocking or sleeve) with rubber gloves on hands, using pads of fingers so as not to snag or pull holes in garment. Apply Skin Adhesive on skin at level of top band – do not apply to inner leg near groin or in armpit. (skin adhesive is not used if garment has silicon band at top) In PM - Remove Garment Wash affected area/areas, rinse, pat excess water leaving skin slightly moist Apply Lotion to affected area/areas Wash garment in warm mild soap (dreft or ivory), rinse well. Roll garment in thick fluffy towel to remove excess moisture and hang to dry overnight Go to sleep without compression unless otherwise directed NOTE – one stocking worn daily will last 3-4 months. Replace them every 3-4 months to maintain reduction of swelling. Please wear garment one week and report progress and/ or any difficulty – 408-782-1028. Your response is vital if changes are necessary in your treatment program - Always exercise with compression unless water exercises are performed - Increase compression if you vacation or air travel at over 4,000 ft. elevation - 1st day wearing garment mark date with permanent marker on top band. - If the garment gets a snag or tear, repair it with “Wooly Yarn/Wooly Thread” - Gradient compression garments move fluids while you’re moving and exercising. Try not to sit in these garments longer than 45 minutes at a time.. The body has a hard time moving fluids past a 90 degree bend. Winter 2015-2016, Volume 5 Issue 5 Page 10 CARE OF BANDAGES & GARMENTS Bandages – 1. All bandages touching the skin (tubular, short or long stretch, stockinette & finger bandages) should be washed daily. Short stretch, long stretch, padding, and pressure pieces not in contact with the skin can be washed every 3 days – more frequently in warm weather and/or if soiled. All the above except foam is washable. 2. Wash all bandages in tepid water using a mild liquid soap such as Ivory or Dreft – NO WOOLITE & no soap powders. 3. Place bandages in a lingerie bag before putting in washing machine. Wash on slow cycle, fast spin. 4. Dry bandages on a flat surface, hang them over a drying rack, or over a shower stall. Roll them tightly after they’re dry. 5. Avoid ironing bandages or cutting them. 6. Roll bandages immediately after removing them from the bandaged arm or leg. 7. Don’t use “clips” to fasten bandages – use tape to secure bandages in place. If using bandages daily, they need to be replaced every 2 -3 months Garments – Wash new garment before 1st wearingCompression garments are washed in tepid water every day after wear, using a mild liquid detergent such as Ivory or Dreft - NO WOOLITE - no soap powder Wash inside out Rinse garment thoroughly in tepid water & squeeze out excess water – do not twist or wring 4 Roll garment in thick fluffy towel to get all water out – hang to dry overnight 5 Purchase at least 2 garments – wear one while the other is laundered. Never sleep in gradient compression garments. 6 If you’re wearing one garment daily, it will maintain its compression for approximately 3 months – replace every 3 – 4 months. 7 Purchase a new garment before the old one has lost its compression. 8 Before applying garment, put the day’s date on inside band with an indelible pen 9 Apply garments with rubber gloves to avoid any ripping or snagging – making sure weave of fabric is smoothed out from end to end. Do not overstretch the garment when applying it. Goal of gradient compression garments is to reduce swelling and pain and increase mobility. Never set at 90 degrees any longer than 45 minutes. These garments move fluid while you’re moving. Winter 2015-2016, Volume 5 Issue 5 Page 11 Gradient Sequential Pneumatic Pump Devon Medical #5208 8 Chamber Gradient Sequential Pump CircuFlow™ 5208 Intermittent Pneumatic Compression (IPC) Pump provides patients the comfort to treat chronic venous and lymphatic disorders in their own homes. Using intermittent gradient sequential pressure applied through easy-to-use multi-chambered garments, the CircuFlow™ 5208 increases blood flow and provides extra cellular fluid clearances. *Medicare reimbursement code E0652* Winter 2015-2016, Volume 5 Issue 5 Page 12 The CircuFlow™ 5208 offers 2 sub-therapy modes: Pre-therapy Mode which mimics the “uncorking” of manual lymphatic drainage. Focus Mode which concentrates on areas of the limb most affected by Lymphedema Fibrosis. Key Features: Chamber Adjustment: Digitally controls pressure within 8 individual garment chambers Patient Comfort: Ability to adjust or skip individual chamber pressures preventing discomfort from ulcers Easy Application: Automatic vacuum that drains the air in 60 seconds from the garments for fast and easy removal after therapy Dual Operation Modes: gradient mode or pressure mode Sub-therapy Modes: Optional uncorking mode and focus mode Customizable Cycle Time: 20-240 seconds, distal to proximal Customizable Pressure: 20-120 mmHg Smart Pressure Monitoring: Automatically prevents pressure tunneling due to operator set up error Digital LCD Screen: (4x1) screen provides easy access to essential set up information and real-time pressure readings Specifications: Dimensions: 11.5”(W) x 10”(D) x 4”(H) Weight: 12 lbs. Inflation Cycle: Adjustable 2.5 – 30 seconds per chamber Deflation Cycle: 12 seconds Cycle Time: Adjustable 20 – 240 seconds Therapy Time: Adjustable 15 – 180 minutes End Therapy Vacuum Time: 60 seconds Electrical: 5208: 120VAC, 60Hz, 100VA MAX 5228: 220VAC, 50Hz, 100VA MAX Fuse Rated: 250VAC, 1.0AMP, SLO-BLO Applied Part: TYPE B Protection Against Electric Shock: CLASS I Operation Mode: Continuous operation with intermittent loading Winter 2015-2016, Volume 5 Issue 5 Pneumatic Appliances: Inflatable Arm & Leg Garments Page 13 Winter 2015-2016, Volume 5 Issue 5 Page 14 Rental Details Rental Costs: $300/month $200/week Delivery: Pumps are delivered to patient at location preferred by Doctor, either patient’s home, medical facility or medical office. Delivery Day: All pumps are pre-scheduled for delivery on Mondays Setting pump: The pump is set according to patient’s condition, highest mmHg distally to lowest mmHg proximally thus satisfying gradient properties of the pump and pneumatic appliance. Documents needed: Doctor’s prescription stating medical necessity Signed rental agreement Name of patient, diagnosis (ICD9 or ICD10 code, DOB) Location/place of pump delivery Phone number of patient for scheduling delivery Contact Phyllis Tubbs-Gingerich,RN,BSN,LE,CLT- Lymphedema Specialist Ginger-K Lymphedema & Cancer Care Center 16360 Monterey Road, Suite – 270 Morgan Hill, CA. 95037-5406 Phone: 408-782-1028 Fax: 408-782-1061 e-mail – [email protected] web address: www.gingerkcenter.com Winter 2015-2016, Volume 5 Issue 5 Page 15 Look for us on our new, bigger and better website: www.gingerkcenter.com With more: Education for patient self care Medical shoes and orthotics Athletic shoes for problematic feet Mastectomy Necessities & Accessories Sports Apparel Lingerie Wigs - human and synthetic Fashionable gradient compression garments Creek Lane Biomedical Products Continuing education for medical professionals Medical skin care products and micro- nutritionals Upcoming events Winter 2015-2016, Volume 5 Issue 5 Page 16 A bona fide Lymphedema Therapist must have/be: 1. A medical professional with solid background in anatomy and physiology of the lymphatic system 2. Completed 140 hrs. of education in the field of lymphedema with 3. Approximately 2 x’s that amount of time in practicum preparation 4. 5 years’ experience in the field of lymphedema treatment and care 5. Pass the LANA Test to become a Nationally Qualified Lymphedema Therapist (Ginger-K Center meets all these criteria) Winter 2015-2016, Volume 5 Issue 5 %PDF-1.5 Page 17 JUST A REMINDER WE HAVE MOVED! You will find us at our beautiful, new location: 16360 Monterey Street Suite 270 Morgan Hill 95037-5406 Phone: (408) 782-1028 Fax: (408) 782-1061 Email: [email protected] Page 18 LISG Support the Lymphedema Information Support Group© LISG is a non-profit organization and we depend upon your support. Yes I’d like to be a Contributor and receive: Quarterly newsletters Calendar of upcoming events Information regarding current treatment for lymphedema Other helpful information The level of my gift is: Supporter Friendship Patron Benefactor Gold Medal Contributor My Company will match my gift $ 50 $ 100 $ 250 $ 500 $1,000 $____ For donations in honor of a loved one, please fill in the amount and indicate in whose memory the contribution is being made. _________________________________________ Your Name ________________________________________________________ Address ________________________ City __________________ Zip _________ Cell phone: __________________ Home or Work Phone:____________________ Check: Y/N OR Credit Card #______________________ Exp. Date__________ CVV# - (3 digits on back of card) ___________________ Signature _______________________________________ I would like to pledge $________ One Time We appreciate your support. Phyllis Tubbs-Gingerich RN, Founder LISG Please make check payable to: LISG - Lymphedema Information Support Group Monthly Quarterly Biannually Other 16360 Monterey Road, Suite 270, Morgan Hill CA 95037-5046 Phone: 408-782-1028 Fax: 408-782-1061 Web: www.gingerkcenter.com Email: [email protected]